ORIGINAL RESEARCH article
Front. Med.
Sec. Obstetrics and Gynecology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1625351
Evaluating the safety and efficiency of day-care hysterectomy: A comparative study using propensity score matching
Provisionally accepted
Qinyan Cao*
Zhang Qiang
Yunyi Su
Wu XianAijie XieHui Wang
Ying LiuJie YuTenglan WuXiaoyan LiaoWei ChengJianmei LiaoTianjiao Liu
Yonghong Lin
Li HeXiaoqin Gan- Chengdu Women and Children’s Central Hospital, Chengdu, China
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Objective: To compare the outcomes of hysterectomy performed via traditional inpatient procedure versus day-care procedure with a focus on surgical time, post-operative recovery, costs, and patient satisfaction, using propensity score matching (PSM) to adjust for confounding variables. Methods: A total of 519 patients undergoing hysterectomy were initially identified. After PSM, 340 patients were included for analysis. Primary outcomes included perioperative complications, surgical time, post-operative discomfort, hospital stay, total cost, and patient satisfaction. Multiple linear regression analysis was performed to explore factors associated with operative bleeding and surgical time. Binary logistic regression was employed to analyze the factors influencing postoperative discomfort. Results: After PSM, the day-care group demonstrated significantly lower hemoglobin decline, post-operative discomfort rates, hospital stay, and total cost, along with higher patient satisfaction (p < 0.05). Multivariate analysis showed a significant correlation between post-operative discomfort and both surgical modality and procedure time. For each additional minute of surgery time, the risk of post-operative discomfort increased by 2% (95% CI: 1.01, 1.03, p < 0.001). Furthermore, the ERAS-based day-care surgical modality reduced the risk of post-operative discomfort by 80% (95% CI: 0.08, 0.50, p < 0.001). Conclusion: The day-care procedure, guided by an enhanced recovery after surgery protocol, not only reduces hospital stay and overall costs but also improves patient satisfaction and reduces post-operative complications without compromising safety. These findings support the feasibility and benefits of day-care hysterectomy as a viable option for appropriately selected patients, offering significant advantages in terms of recovery and cost-efficiency.
Keywords: Hysterectomy, day-care procedure, traditional inpatient procedure, Enhanced recovery after surgery, Propensity score matching, surgical outcomes
Received: 08 May 2025; Accepted: 27 Aug 2025.
Copyright: © 2025 Cao, Qiang, Su, Xian, Xie, Wang, Liu, Yu, Wu, Liao, Cheng, Liao, Liu, Lin, He and Gan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Qinyan Cao, Chengdu Women and Children’s Central Hospital, Chengdu, China
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